Dental Credentialing Supervisor
Dental Credentialing Supervisor
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Job Description
Objective and Purpose:
The Credentialing Supervisor is responsible for administering credentialing and provider enrollment services throughout our practice network including Provider Payor enrollment and Providers facility appointments and reappointments. This role provides leadership to a team of provider enrollment specialists and leads manages and monitors processes and procedures that support credentialing recredentialing and data management to ensure compliance with all relevant standards state and federal regulations and health plan compliance.
Primary Responsibilities:
- Overseas the endtoend credentialing process for all healthcare providers
- Leads the credentialing team cultivating a work environment that encourages teamwork professional growth and adherence to annual performance goals and metrics while focusing on delivering value to the company.
- Develops Implements and continuously improves credentialing recredentialing and privileging processes policies and procedures to ensure compliance with regulatory requirements.
- Audits and assesses the effectiveness and efficiency of credentialing endtoend processes.
- Ensures compliance with and stays abreast of changes to legal and regulatory standards with the National Practitioner Data Bank.
- Collaborates with relevant stakeholders on mutual topics of interest; provides updates on changes regarding enrollment and credentialing. Specifically participates in Payor meetings and collaborates with RCM on credentialing and enrollment related claims projects and denials.
- Collaborate with internal departments such as Human Resources and Quality and Compliance to ensure alignment of credentialing processes with organizational goals and objectives.
- Leverages technology platforms and software systems to streamline the credentialing processes maintain records and enhance efficiency.
Requirements:
- Bachelors degree in Healthcare Administration Business or a related field preferred. Equivalent experience in dental credentialing will also be considered.
- Minimum of 6 years of handson experience specifically in dental credentialing including provider payor enrollment credentialing and privileging processes within the dental industry (required).
- 4 years of management leading and developing high performing teams in dentistry.
- Detailed understanding of Medicare Medicaid and Managed Care Plan regulations.
- Experience with credentialing platforms related software and websites (NPPES CAQH etc.
- Goal Driven with a firm understanding of credentialing department KPIs.
- Must be able to work under pressure and meet deadlines while maintaining a positive attitude and providing exemplary customer service.
- Ability to multitask and align priorities accordingly.
Benefits:
- BCBS High Deductible & PPO Medical insurance Options
- VSP Vision Coverage
- PPO Dental Insurance
- Complimentary Life Insurance Policy
- Shortterm & LongTerm Disability
- Pet Insurance Coverage
- 401(k) plan
- HSA / FSA Account Access
- Identity Theft Protection
- Legal Services Package
- Hospital/Accident/Critical Care Coverage
- Paid Time Off
- Diverse and Inclusive Work Environment
About Us:
Specialty1 Partners is a practice services organization committed to providing nonclinical business support services to the nations leading specialty dental practices. The company was founded in 2019 by four endodontists who wanted to provide unique and differentiated support to specialty dental practices. Originally focusing on support to endodontics practices (under the Endo1 brand) Specialty1 Partners quickly expanded its support to periodontics and oral surgery practices.
Since its founding Specialty1 Partners has grown rapidly to become one of the largest private owners of specialty dental practices in the US. Headquartered in Houston TX Specialty1 Partners is led by its founders and a management team that is focused on ongoing growth and delivery of bestinclass services across its network of practices. Specialty1 Partners currently has over 224 locations across 28 states.
Salary: $annually
Modality: Remote
We believe in transparency through the talent acquisition process; we support our team members past future and present to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission.
Position Base Pay Range
$68000 $75000 USD
Specialty1 Partners and its affiliates are equalopportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a nonexhaustive list): race color age religion gender national origin disability sexual orientation gender identity protected veteran status or other characteristics in accordance with the relevant governing laws. Specialty1 Partners Privacy Policy and CCPA statement are available for view and download at 1partners/privacypolicy/
Specialty1 Partners and all its affiliates participate in the federal governments EVerify program. Specialty1 further participates in the EVerify Program on behalf of the clinical practice entities which are supported by Specialty1. EVerify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The EVerify process is completed in conjunction with a new hires completion of Form I9 Employment Eligibility Verification upon commencement of employment. EVerify is not used as a tool to prescreen candidates. For uptodate information on EVerify go to click on the Employees Link to learn more.
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Required Experience:
Manager
Employment Type
Full-Time
